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SAMARA SOBER
NPI 1669230132
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since March 11, 2024PECOS Enrolled
55 LAKE AVENUE NORTH, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samara Sober NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMARA SOBER (NPI 1669230132) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669230132
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMARA SOBER
Location Address55 LAKE AVENUE NORTHWorcester, MA 01655-0002
Mailing Address55 Lake Avenue NorthWorcester, MA 01655-0002 · (508) 334-1000
Phone(508) 334-1000
Sole ProprietorNo
Enumeration DateMarch 11, 2024
Last NPPES UpdateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1669230132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

55 LAKE AVENUE NORTH, Worcester, MA 01655
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samara Sober is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MERCEDES ELVIRA MENENDEZ M.D.
Psychiatry & Neurology (Psychiatry)
55 LAKE AVENUE NORTH, UMASS MEMORIAL MEDICAL CENTER, ADULT MENTAL HEALTH UNIT
WORCESTER, MA 01655
Worcester County (774) 442-2761
MARCUS P COOPER M.D.
Internal Medicine
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 856-3452
SARAH G. POPE M.D.
Radiology (Diagnostic Radiology)
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 856-3821
MS. KERRY B REILLY PA-C
Physician Assistant
55 LAKE AVENUE NORTH, DEPARTMENT OF SURGERY
WORCESTER, MA 01655
Worcester County (508) 334-3278
MAI-PHUONG THI TRAN PHARMD
Pharmacist
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 421-1900
ANDREA GIBSON PA-C
Physician Assistant
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-1000
MICHELLE E CONROY M.D.
Allergy & Immunology
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (774) 443-2781
DR. KELLI TAKAHATA M.D.
Student in an Organized Health Care Education/Training Program
55 LAKE AVENUE NORTH
WORCESTER, MA 01655
Worcester County (508) 334-1000

Frequently Asked Questions

What is Samara Sober's NPI number?

The NPI number assigned to this healthcare provider is 1669230132, enumerated as an "individual" on March 11, 2024.

Where is the provider located?

The provider is located at 55 LAKE AVENUE NORTH WORCESTER, MA 01655 and the phone number is (508) 334-1000.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.